Adolescent Medicine fellowship will use the following combination of didactic and experiential learning over the course of a three-year fellowship to provide trainees a solid foundation in research methods that will prepare them for a career in academic Adolescent Medicine.
During fellowship orientation, the fellows will complete the Children’s Mercy Research Orientation. This will provide fellows an overview of the research supports at Children’s Mercy, administrative oversight of research conducted at Children’s Mercy, and training requirements that must be completed for a fellow to participate in research studies at Children’s Mercy.
Fellows will be required to obtain training in biostatistics as part of fellowship. This can be accomplished through the annual biostatistics course offered by Children’s Mercy or in the context of one to the certificate programs listed below.
Selection of Scholarly Oversight Committee (SOC)
After completing General Pediatrics Boards in mid-October, the fellow will select a staff member from the Adolescent Medicine Division to be the Chair of his or her SOC. This staff member will then work with the fellow to develop a topic area for a research project, refine the research question, connect him or her with institutional resources to facilitate the project, and assist with selection of the other members of the SOC. The SOC must contain at least 3 members and at least one of them must be selected from outside the Adolescent Medicine Division. Once the SOC is selected, it will meet at least 4 times a year to provide support, mentoring, and feedback. The meetings will be timed to coincide with the major deliverables for the fellow’s research project, so the SOC can monitor progress and provide meaningful and timely feedback on the fellow’s project.
In addition to working with the SOC to complete the protocol for his or her research project, the fellow will also be encouraged to access support (including biostatistical consultation, software design, database management, and editing) from the Children’s Research Institute at Children’s Mercy as needed. (Resources for Researchers). The fellow is expected to have an IRB protocol and research grant approved by his or her grant mentor and SOC and ready for submission by September of the second year of fellowship.
Improvement Academy (Problem Solving for Fellows) and QA/QI Project
Improvement Academy is a participative learning experience at Children's Mercy designed to allow fellows to develop an A3 mindset for problem solving. This course will teach fellows a framework for problem solving that will help fellows remain current and continuously improve their practice. In addition, this course will help fellows increase not only the quality but quantity of the care they provide. In order to graduate, fellows will be required to attend a one-day Problem Solving Basics course over the summer between 1st and 2nd year of fellowship, develop a multidisciplinary team to address a problem they identify, attend a series of coaching sessions with an experienced QA/QI mentor in order to solve a local problem over the course of the 2nd year of fellowship, and provide a write up of the QA/QI initiative prior to April of the third year of fellowship, suitable for submission for MOC credit.
Research Project Completion and Dissemination
The fellow is expected to have completed the IRB approval process by December of the second year of fellowship and begun data collection on his or her project. Data collection and preliminary analyses should be complete by August of the 3rd year of fellowship, so the fellow can prepare and submit an abstract for presentation at the Society for Adolescent Health and Medicine Annual Meeting. If this is not possible then submission to the Pediatric Academic Societies Annual Meeting in January of the 3rd year is an acceptable alternative. A manuscript suitable for publication and approved by the fellow’s SOC must be submitted prior to the end of April of the 3rd year of fellowship. The fellow is expected to submit the paper for publication at a peer reviewed journal selected by the fellow and SOC as well.
Graduate Certificate in Clinical Research
Between January of the first year and December of the second year of fellowship, the fellow will obtain a graduate certificate in clinical research from the University of Missouri Kansas City, School of Medicine. The certificate curriculum includes 15 credit hours of required coursework from the Master of Science in Bioinformatics Clinical Research Emphasis curriculum. The courses are:
- Biostatistics I
- Clinical Research Methodology
- Principals and Applications of Epidemiology
- Clinical Trials
- Overview of Health Services Research
Fellows who wish to complete the final three courses of the program (Biostatistics II, Intro-Medical Informatics, and Responsible Conduct of Research) and the capstone project so they can obtain the Masters of Science degree can take these courses instead of the electives in the third year of fellowship. However, there will be no tuition support for these 4 additional courses.
Graduate Certificate in Health Professions Education
For fellows who anticipate a future in medical education instead of research, the fellowship will also offer an opportunity to obtain a graduate certificate in Health Professions Education from the University of Missouri Kansas City, School of Medicine instead of the Clinical Research Certificate. This certificate curriculum includes 18 credit hours of required coursework from the Masters of Health Professions Education curriculum. The courses are:
- Current Issues in Health Professions Education
- Assessment in Health Professions Education
- Principles and Methods of Research
- Teaching in Health Professions Education
- Curriculum Design in Health Professions Education
- Program Evaluation in Health Professions Education
Fellows who wish to complete the final four courses of the Masters of Health Professions Education degree (Leadership and Administration in Health Professions Education, Biostatistics, Teaching about Culture and Health, Summer Health Professions Education Mini-conference) and develop an education portfolio can take these courses instead of the electives in the third year of fellowship.
Grant Writing Boot Camp
Fellows can also participate in a grant writing workshop sponsored by Children’s Mercy. This course is offered each November. Following this course fellows will be paired with an experienced faculty mentor to write a grant to support future research projects. After completing this boot camp, the fellow will be allowed to apply for intramural support for his or her projects and can also apply for extramural support if desired. Fellows with well-developed research interests who feel they may need funding for their fellowship project can take this course during the first year of fellowship. Alternatively, fellows can take this course during the last year of fellowship to obtain assistance with faculty development grants or research projects sparked by the fellowship experience.